Provider Demographics
NPI:1447569389
Name:ZAYAS, ALICIA (MSW, LCSW, PMH-C)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:MSW, LCSW, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 W NOBLE AVE # 339
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-1662
Mailing Address - Country:US
Mailing Address - Phone:559-372-9751
Mailing Address - Fax:
Practice Address - Street 1:2908 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5731
Practice Address - Country:US
Practice Address - Phone:559-372-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW752461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical